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NRH Course Booking Form

Fields marked with * are mandatory.

  • Date Format: MM slash DD slash YYYY
  • Delegate Details

  • Name * Required
  • Address * Required
  • Special dietary, access, or other requests

  • Payment Method

  • *Reference on bank transfer (Your name, organisation) : (Ref:)
  • Bank: Bank of Ireland Dun Laoghaire, Co. Dublin
    Account Name: NRH Hospital
    Account Number: 10159939
    Sort Code: 901116
    IBAN Number: IE79 BOFI 9011 1610 1599 39
    BIC Number: OFIIE2D
  • Privacy and Personal Data * Required
    Tick here to indicate that you have read and understand our Privacy Policy, where it states how we treat your personal data.
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